Becker's Payer Issues | Payer News
Feb 16, 2024 · Primary care accounts for more than 35% of U.S. healthcare visits, but only 5% of healthcare spending. To address this gap, a California agency has set a goal for insurers in the state to direct 15% of their spending to primary care by 2034, KFF Health News reported Nov. 21.
Becker's Payer Issues | Payer News
Editor's note: This story was updated Nov. 15 to reflect Huntsville Hospital Health System reached a new contract agreement with UnitedHealthcare.
Payer
Primary care accounts for more than 35% of U.S. healthcare visits, but only 5% of healthcare spending. To address this gap, a California agency has set a goal for insurers in the state to direct 15% of their spending to primary care by 2034, KFF Health News reported Nov. 21.
Payer Contracting - Becker's Payer
In today’s complex healthcare landscape, providers often find themselves grappling with the challenging dynamics of payer negotiations. While the scales may seem tipped in favor of insurance companies, providers possess more leverage than they may realize — if they understand how to wield it effectively.
Executive Moves - Becker's Payer
Nov 13, 2024 · The CEOs of at least three payers plan to retire at the end of 2024.
Payer
The other day, I had a conversation with a colleague I've worked with for years. He's familiar with my career, and he was utterly surprised when I told him that one of my proudest achievements is the lawsuit that my company, SCAN, filed against the Centers for Medicare and Medicaid Services (CMS) challenging our Medicare Advantage Star rating.
Payer Policy Updates - Becker's Payer
Nov 14, 2024 · Over the last month, California Gov. Gavin Newsom has signed 17 bills pertaining to the deployment and regulation of generative AI technology, including legislation that will require health insurers to ensure that physicians supervise the use of AI tools that make decisions about services and insurance claims.
What will change in healthcare in 10 years? 32 payer executives …
May 30, 2024 · Payer executives are expecting AI, integrated care and an aging population to transform the healthcare landscape in the next decade. The 32 leaders featured in this article, part of an ongoing series, are speaking at upcoming Becker's Payer Issues Roundtable events.
23 payer executives' top priorities for 2024 - Becker's Payer
Nov 6, 2023 · Payer leaders are turning their attention to health equity, prior authorization, AI and more as 2024 approaches. These 23 industry leaders explain their top priority for 2024.
21 payers' growth strategies for 2024 - Becker's
Payers are planning to grow their value-based models, improve health equity, implement new technology and more in the coming years. The 21 leaders featured in this article, part of an ongoing series, are all speaking at Becker's 2024 payer roundtables.